Kelly A Poulos
Registered Nurse, Critical Care Medicine in Worcester, Massachusetts
1194563148- Practice location
- 49 Acushnet Ave, Worcester, MA 01606-1819
- Phone
- 774-242-3103
- Fax
- —
- Last updated
- July 15, 2024
Kelly Ann Poulos is a Registered Nurse, Critical Care Medicine based in Worcester, MA. Kelly Ann Poulos practices in Worcester, MA. The NPI Number for Kelly Ann Poulos is 1194563148 and holds a License No. RN2350849 (MA). The current practice location address for Kelly Ann Poulos is 49 Acushnet Ave, Worcester, MA 01606-1819 and can be reached out via phone at 774-242-3103.
Provider Profile Details
- NPI Number
- 1194563148
- Provider Name
- Kelly Ann Poulos
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 49 Acushnet Ave, Worcester, MA 01606-1819
- Phone Number
- 774-242-3103
- Primary Taxonomy
- Registered Nurse, Critical Care Medicine · 163WC0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2024
- Last Update Date
- July 15, 2024
- Certification Date
- July 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Acushnet Ave
Worcester, MA 01606-1819 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-1819
- Phone Number
- 774-242-3103
Provider Business Mailing Address Details
- Address
- 49 Acushnet Ave
Worcester, MA 01606-1819 - City
- Worcester
- State
- MA
- Zip
- 01606-1819
License Information
- License Number
- RN2350849
- License State
- MA
- Taxonomy
- Registered Nurse, Critical Care Medicine · 163WC0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurse, Critical Care Medicine providers near Worcester, MA
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- Maura C RamirezRegistered Nurse, Critical Care Medicine · NPI 1245191311
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Frequently Asked Questions
What is the NPI number of Kelly A Poulos?
The NPI number of Kelly A Poulos is 1194563148. It was assigned on July 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Kelly A Poulos?
Kelly A Poulos is registered under the primary taxonomy Registered Nurse, Critical Care Medicine (code 163WC0200X), licensed in MA under license number RN2350849.
Where does Kelly A Poulos practice?
The practice location is 49 Acushnet Ave, Worcester, MA 01606-1819. The office can be reached at 774-242-3103 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194563148 directly on the NPPES registry website.